Discussions By Condition: I cannot get a diagnosis.

Homework help PLEASE

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: skerbball
  • April 8, 2008
  • 00:55 AM

A 25-year-old male college student experienced fatigue, a decreased appetitie, weight loss, frequent swelling and bleeding of the gums, and a sense of abdominal fullness with discomfort under the left lower ribs. An examination of peripheral blood and bone marrow resulted in the following:

Erythrocytes 3.1 million/mm^3
Leukocytes 165,000/mm^3
Thrombocytes 62,000/mm^3
Hematocrit 28%

Lymphocytes=79% of all leukocytes

Examination of the tightly packed bone marrow demonstrated a tremendous concentration of small lymphocytes (>90%). The lymph nodes (particularly in the throat and armpits) were also moderately enlarged.

What is the primary disorder of the individual? Explain.
What are the important symptoms necessary for this diagnosis?
Define anemia and explain what is causing it.
What was the cuasse of abdominal fullness and discomfort?
Explain the conventional treatments used to treat this disorder.

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1 Replies:

  • Not sure if this is right or not, but it sounds like this patient has one of the lymphocytic leukemias, as evidenced by the elevate peripheral white count and increased lymphocytes in the marrow. Based on the age of the patient, i'm thinking acute lymphocytic leukemia rather than chronic lymphocytic leukemia, but this is not 100% as there is overlap in age distributions.Leukemic patients present with evidence of bone marrow failure, bone pain, fatigue, etcThe anemia is from all the lymphocytes crowding out the marrow and interruping normal erythropoiesis.The abdominal fullness/discomfort may be from invasion into the spleen and perhaps liver.Not sure about treatments since I don't know if any of this is right
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